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North Carolina rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.42 / $1,799.10 / $5,449.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $13,652.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.42 / $294.35 / $346.73
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$58.87 / $58.87 / $87.55
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$36.72 / $41.21 / $61.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,990.54 / $3,569.02 / $5,000.00
Wellcare
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$196.08 / $342.53 / $676.58
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$31.37 / $54.80 / $108.25